Contact Mr Leye Ajayi

Complete this form if you would like to arrange a private appointment with Mr Leye Ajayi, someone will contact you shortly to make the arrangements. We are committed to safeguarding your personal information, please read our Privacy Policy for full details.

Your name: *

Patient's name (if different from above):

Patient's age:

Your email address: *

Your telephone number: *

Your message: *

Please use the box below to provide further details that will assist us in dealing with your enquiry. For purposes of patient confidentiality, please provide brief details only of your personal medical condition or history at this stage.

How did you find us?:

Terms & Conditions: *

I confirm that I have read and I understand the terms and conditions contained on this Web site. I further understand that Consultant-Search will where appropriate refer this enquiry to the office of a relevant medical practitioner who will then contact you directly. I authorise Consultant-Search to make this referral and any subsequent follow-up enquiries that are necessary for the purposes of monitoring levels of service provision and satisfaction.